NMT150 HOMEO, Wk9 LBP with depression (1).pdf

HOMEOPATHY M AT E R I A M E D I C A , N O N - S P E C I F I C LBP Author: NMT150, Y1T2 Mahsa Asasi, Hom., Pharm.D. LEARNING OBJECTIVE TO IDENTIFY KEYNOTES OF TWO REMEDIES FOR DEPRESSION AND LBP: NATRUM MURIATICUM SEPIA OFFICINALIS...

HOMEOPATHY M AT E R I A M E D I C A , N O N - S P E C I F I C LBP Author: NMT150, Y1T2 Mahsa Asasi, Hom., Pharm.D. LEARNING OBJECTIVE TO IDENTIFY KEYNOTES OF TWO REMEDIES FOR DEPRESSION AND LBP: NATRUM MURIATICUM SEPIA OFFICINALIS This Photo by Unknown author is licensed under CC BY-SA-NC. CASE TODAY Depression/GAD pt, 1yr later w/ LBP of unknown cause (non-specific). No radiculopathy. Mood concerns still in play. SEPIA OFFICINALIS (CUTTLEFISH) This Photo by Unknown author is licensed under CC BY. AFFINITIES Circulation EXTREMITIES - COLDNESS - Hands - alternating with – heat venous stasis + heaviness of the organs = prolapse/ptosis FEMALE GENITALIA/SEX – PROLAPSUS Keynote: Bearing down sensation HEALTHY SEPIA Disposition: mild and easy-going Independent, loves the sun, distraction, and physical activity Artistic in nature – music, arts (eg: handcrafts): painters, musicians, dancers -- visual, auditory, and rhythmic arts WHEN SEPIA BREAKS Decreased capacity to be affectionate DOWN May put on an act for her children at the beginning As pathology continues -- loses ability to express love, feels guilt Mind, indifference, loved ones, to Indifference to everything: no sense of life total aversion to work Indifference and aversion to family SEPIA-GENERALITIES Left-sided symptoms This Photo by Unknown author is licensed under CC BY-NC. Heaviness or "ball" sensation, or empty "gone" feeling Hungry with pains Food Desires: chocolate: more in chronic stage pickles, sour especially in acute stage (Vinegar) children love vinegar, can drink it sweets, bitter foods, cheese , spicy, salty This Photo by Unknown author is licensed under CC BY-SA-NC. SEPIA-BACK PAIN Aching in inter-scapular or Lumbar region; paralytic; wants to be pressed. Sudden pain in back, as if struck by a hammer agg. stooping; kneeling. Pain in back amel. by pressing back against something hard. Weakness in small of back when walking; from uterine disease. Everything affects the back. Icy coldness between the scapulae. Cramps in buttocks when stretching out legs. AMELIORATION Violent movement, exercise, occupation (=distraction) > Mind - occupation amel. Eating, in some complaints (nausea, headache) Being alone (e.g.: doesn't like consolation) Warmth, open air Sunny weather (but also loves thunderstorms) Lying on the painful side (ddx. Bry.), pressure AGGRAVATIONS 3 - 5pm or 4 - 6pm (a 2-hour period in afternoon) and 10 - 11am Before and during menses Pregnancy and after labour, eg. haemorrhage Nursing a “vigorous” child (ddx. China) for example: twins Intercourse/coition (ddx. ferr, nat-m) Cold room, cold weather, but desires open air Cloudy weather (feels depressed) Change of weather AGGRAVATIONS-CONT. Warm wet weather and hot humid weather Snow air/weather Sensitive to music (ddx. carc, nat-m), piano music (ddx. Anac., Nat-c., zinc) Seashore (ddx. Nat-m.) OR > seashore Very sensitive to tobacco smoke, yet > by smoking Loss of body fluids (ddx China, Phos.ac.)  SEPIA- CONCOMITANTS Chloasma, iatrogenic or during pregnancy Herpes (facial, genital. HSV I and II) Herpes zoster (=shingles, zona. VZV infection) This Photo by Unknown author is licensed under CC BY-NC. N AT R U M M U R I AT I C U M SODIUM CHLORIDE This Photo by Unknown author is licensed under CC BY-SA-NC. NATRUM MUR.- MIND Psychic causes of disease; ill effects of grief, fright, anger, rude people... Depressed, particularly in chronic diseases. Consolation aggravates. Wants to be alone to cry. Tears with laughter. NAT.MUR.-MIND-CONT. Hateful; to persons who Sad : during menses; had offended him. without cause. Dwells on past Weeps involuntarily, unpleasant memories.. without a cause or Fear or dreams of cannot weep. robbers. NAT.MUR.- BACK Pain in the back, with desire for some firm support. [Rhus; Sep.] Knees feel weak. Numbness and tingling in fingers and lower extremities. Ankles weak and turn easily. [Nat-c.] Painful contraction of hamstrings. [Caust.] Cracking in joints on motion NAT.MUR.- MODALITIES Worse: Better: In the morning around 9 to 11 Open air am (=forenoon in repertory) From widely-applied pressure, At seashore and Sun exposure pressure against back Consolation, heat, talking (Lumbago, when lying supine) Tight clothing. NAT.MUR.-CONCOMITANTS Unquenchable thirst during fever, heat Colds and flu that start with sneezing. Profuse, colorless mucus that looks like raw egg white Edema, anemia, endocrine diseases... Abnormal craving for salt or salty food  MAPPED TONGUE One of the objective keynotes for Nat.mur is their mapped tongue This Photo by Unknown author is licensed under CC BY-ND. NAT.MUR.-REMEDY RELATIONS Complementary to : Sepia Ignatia amara Remedies Sepia Nat. mur. Rhus tox. Bryonia Sensations Heaviness and Tingling and numbness in Restless; must keep moving Rheumatism bruised feeling extremities and stretching the part due to the with excruciating, stitching painful stiffness. pain. Averse to being examined or moved. Modalities >Violent movement, Pain in back > with some >Hot bathing or >LOCAL HEAT; >pressure, occupation firm support. showers. Running scalding hot water >perspiring >Warmth, open air on painful joints. >lying still. Lying on the Constantly moving. painful side. >Lying on the painful side to 11 am < before, during menses,